NPI | 1083605851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD60056789) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 33160) |
Enumeration Date | 2005-11-02 |
Last Update Date | 2015-03-16 |